@article{ref1,
title="Care Programme Approach - Documentation of past risk-related behaviour",
journal="Psychiatric bulletin",
year="2003",
author="Dick, P. and Durham, T. and Stewart, M. and Kane, S. and Duffy, J.",
volume="27",
number="8",
pages="298-300",
abstract="Aims and method: The aim of the study was to assess the practicality of extracting past risk-related information from case records and to assess how this process might be cost-effectively incorporated in routine practice. Case records of 43 patients referred to the Care Programme Approach in Dundee were examined. <br><br>RESULTS: Our study yielded relevant information - 39% of patients had a history of violence, 58% of self-harm or suicide, 58% of severe self-neglect and 72% of non-compliance with medication. However, it took an average of 5 hours to conduct a thorough review of each case because the notes were bulky and poorly organised. Clinical implications: Retrospective review of conventional case records in routine practice is likely to be incomplete and misleading. Prospective recording should be practicable if used selectively, but requires a standardised approach to clijiical recording and case note maintenance. The risk recording system we developed, incorporating a dated index of incidents by risk category, followed by brief summaries of each incident, provides key clinical information not available from a simple check list while not sacrificing brevity.<p /><p>Language: en</p>",
language="en",
issn="0955-6036",
doi="10.1192/pb.27.8.298",
url="http://dx.doi.org/10.1192/pb.27.8.298"
}